Oral medicine and oral pathology is the branch and specialty of dentistry concerned with the diagnosis, nature and primarily non-surgical management of oral, maxillofacial, and temporomandibular diseases and disorders, including dental management of patients with medical complications. Oral medicine and oral pathology are two applied components of this specialty.

Content

The NDSE in oral medicine and/or oral pathology evaluates your knowledge and clinical competence at the specialty level. 

Blueprint

The blueprint below indicates the domains and approximate percentage of the examination in each domain. Oral medicine and oral pathology candidates are required to demonstrate competency in all the domains.

Oral Medicine and Oral Pathology Blueprint - Part 1 Approximate
% examination
Microscopic evaluation 50
Oral Medicine and Oral Pathology Blueprint- Part 2 Approximate
% of examination
Basic medical sciences 7.5
Orofacial tissue-based disease 7.5
Clinical judgments-lesions in common* 17.5
Clinical judgements-oral medicine 17.5
Total 100%

* Lesions in common means the lesions that both oral pathology and oral medicine have in common.

The examination format and blueprint for each applied component of the oral medicine and/or oral pathology specialty are below.

Format

The oral medicine/oral pathology examination will consist of two three-hour parts. Part 1 consists of a practical histopathology evaluation that assesses diagnosis of surgical oral pathology tissue sections. Cytology specimens, electron micrographs, immunohistochemical and molecular histology tissue sections may be included.

Part 2 consists of a written examination comprised of short and long answer questions that assess knowledge of basic medical sciences and orofacial tissue-based disease, as well as case-based vignettes that assess clinical judgement in the topics of lesions in common and oral medicine.

Blueprint – Oral Medicine

Oral Medicine Blueprint - Part 1 Approximate %
of examination
Basic medical sciences 15
Clinical judgements-lesions in common* 35

* Lesions in common means the lesions that both oral pathology and oral medicine have in common.

Oral Medicine Blueprint - Part 2 Approximate %
of questions
Orofacial tissue-based disease 15
Clinical judgements-oral medicine 35
Total 100%

Format - Oral Medicine Only

The oral medicine examination will consist of two three-hour parts. Part 1 consists of short and long answer questions that assess knowledge of basic medical sciences, and case-based clinical vignettes that assess clinical judgment in the topic of lesions in common. Part 2 consists of short and long answer questions that assess knowledge of orofacial tissue-based disease, and case-based clinical vignettes that assess clinical judgement in the topic of oral medicine.

 

Blueprint - Oral Pathology

Oral Pathology Blueprint - Part 1 Approximate %
of examination
Microscopic evaluation 50
Oral Pathology Blueprint - Part 2 Approximate %
of examination
Basic medical sciences 7.5
Orofacial tissue-based disease 7.5
Clinical judgements-lesions in common* 35
Total 100%

* Lesions in common means the lesions that both oral pathology and oral medicine have in common.

Format - Oral Pathology Only

The oral pathology examination will consist of two three-hour parts. Part 1 consists of a practical histopathology evaluation that assesses diagnosis of surgical oral pathology tissue sections. Cytology specimens, electron micrographs, immunohistochemical and molecular histology tissue sections may be included. Part 2 consists of a written examination comprised of short- and long-answer questions that assess knowledge of basic medical sciences and orofacial tissue-based disease, as well as case-based vignettes that assess clinical judgment in the topics of lesions in common.

References and Resources

Oral Medicine and/or Oral Pathology

Czerniak, B. (2016). Dorfman and Czerniak’s Bone Tumors (2nded.). St. Louis, Missouri : Elsevier

Flanagan, A. M., & Speight, P. M. (2014). Giant Cell Lesions of the Craniofacial Bones. Head and Neck Pathology, 8(4), 445–453. https://doi.org/10.1007/s12105-014-0589-6

Hussein, M. R. A. (2013). Atypical lymphoid proliferations: the pathologist’s viewpoint. Expert Review of Hematology, 6(2), 139–153. https://doi.org/10.1586/ehm.13.4

Kumar, V., Abbas, A., Aster, J. (2017). Robbins Basic Pathology. (10th ed.) Philadelphia: Saunders/Elsevier.

Little, J. W., Miller, C. S., & Rhodus, N. L. (2017). Little and Falace’s Dental Management of the Medically Compromised Patient. (9th ed.) Maarssen, Netherlands: Elsevier Gezondheidszorg.

Neville, D., Damm, D., Allen, D. D. S. M. S. D., Chi DMD, D., Brad W. Neville, D., Douglas D. Damm, D., … Angela C. Chi, D. (2016). Oral and Maxillofacial Pathology. (4th ed.) St. Louis, Missouri : Elsevier

Sharav, Y., & Benoliel, R. (2008). Orofacial Pain and Headache (1st ed). St. Louis: Mosby.

Oral Medicine Only
 

Bickley, L. S. (2016). Bates’ Guide to Physical Examination and History Taking (12th ed.). Alphen aan den Rijn, Netherlands: Wolters Kluwer.

Czerniak, B. (2016). Dorfman and Czerniak’s Bone Tumors (2nded.). St. Louis, Missouri : Elsevier

Flanagan, A. M., & Speight, P. M. (2014). Giant Cell Lesions of the Craniofacial Bones. Head and Neck Pathology, 8(4), 445–453. https://doi.org/10.1007/s12105-014-0589-6

Hoffmann, J., & May, A. (2018). Diagnosis, pathophysiology, and management of cluster headache. The Lancet Neurology, 17(1), 75–83. https://doi.org/10.1016/s1474-4422(17)30405-2

Hussein, M. R. A. (2013). Atypical lymphoid proliferations: the pathologist’s viewpoint. Expert Review of Hematology, 6(2), 139–153. https://doi.org/10.1586/ehm.13.4

Kumar, V., Abbas, A., Aster, J. (2017). Robbins Basic Pathology. (10th ed.) Philadelphia: Saunders/Elsevier.

Little, J. W., Miller, C. S., & Rhodus, N. L. (2017). Little and Falace’s Dental Management of the Medically Compromised Patient. (9th ed.) Maarssen, Netherlands: Elsevier Gezondheidszorg.

Neville, D., Damm, D., Allen, D. D. S. M. S. D., Chi DMD, D., Brad W. Neville, D., Douglas D. Damm, D., … Angela C. Chi, D. (2016). Oral and Maxillofacial Pathology. (4th ed.) St. Louis, Missouri : Elsevier

Rubin, M., Safdieh, J. E., & Netter, F. H. (2007). Netter's Concise Neuroanatomy (6th ed.). Philadelphia: Saunders Elsevier.

Robbins, M. S., Starling, A. J., Pringsheim, T. M., Becker, W. J., & Schwedt, T. J. (2016). Treatment of Cluster Headache: The American Headache Society Evidence-Based Guidelines. Headache: The Journal of Head and Face Pain, 56(7), 1093–1106. https://doi.org/10.1111/head.12866

Sharav, Y., & Benoliel, R. (2008). Orofacial Pain and Headache (1st ed). St. Louis: Mosby

Oral Pathology Only

Czerniak, B. (2016). Dorfman and Czerniak’s Bone Tumors (2nded.). St. Louis, Missouri : Elsevier (op

Flanagan, A. M., & Speight, P. M. (2014). Giant Cell Lesions of the Craniofacial Bones. Head and Neck Pathology, 8(4), 445–453. https://doi.org/10.1007/s12105-014-0589-6

Hussein, M. R. A. (2013). Atypical lymphoid proliferations: the pathologist’s viewpoint. Expert Review of Hematology, 6(2), 139–153. https://doi.org/10.1586/ehm.13.4

Kumar, V., Abbas, A., Aster, J. (2017). Robbins Basic Pathology. (10th ed.) Philadelphia: Saunders/Elsevier.

Little, J. W., Miller, C. S., & Rhodus, N. L. (2017). Little and Falace’s Dental Management of the Medically Compromised Patient. (9th ed.) Maarssen, Netherlands: Elsevier Gezondheidszorg.

Neville, D., Damm, D., Allen, D. D. S. M. S. D., Chi DMD, D., Brad W. Neville, D., Douglas D. Damm, D., … Angela C. Chi, D. (2016). Oral and Maxillofacial Pathology. (4th ed.) St. Louis, Missouri : Elsevier

Software and Sample Files Oral Medicine and/or Oral Pathology and Oral Pathology only

During the examination, you will be provided with a laptop on which you will find the software and case files for Part 1.

In preparation for the examination you will be provided access to a series of practice files that can be loaded Leica Aperio ImageScope pathology slide viewings software. A link to the sample files will be sent to you through the secure messages feature of your NDEB profile once you have applied and identified oral medicine and/or oral pathology or oral pathology as your specialty.

Leica Aperio ImageScope

You can download Leica Aperio ImageScope from http://www2.leicabiosystems.com/l/48532/2019-01-03/7bs4rg